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General NPI Number Information
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NPI Number | 1457633174
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL M E D TRANSPORTATION SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 1915 BURNS ST
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City | FLINT
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State | MI
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Zip | 48506-3675
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Country | US
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Telephone | 810-412-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 1915 BURNS ST
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City | FLINT
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State | MI
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Zip | 48506-3675
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Country | US
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Telephone | 810-412-0535
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. KEVIN R. HOLTON
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Credential |
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Telephone | 734-377-5160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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